Federico Coccolini, Papa Giovanni XXIII Hospital
Giulia Montori, Papa Giovanni XXIII Hospital
Fausto Catena, Maggiore Hospital
Yoram Kluger, Rambam Health Care Campus
Walter Biffl, The Queen’s Medical Center
Ernest E. Moore, Denver Health Medical Center
Viktor Reva, Sergei Kirov Military Academy
Camilla Bing, Empoli Hospital
Miklosh Bala, Hadassah Medical Center
Paola Fugazzola, Papa Giovanni XXIII Hospital
Hany Bahouth, Rambam Health Care Campus
Ingo Marzi, Wiederherstellungschirurgie Universitätsklinikum Goethe-Universität Frankfurt
George Velmahos, Massachusetts General Hospital
Rao Ivatury, Virginia Commonwealth University
Kjetil Soreide, Stavanger University Hospital
Tal Horer, Örebro University
Richard ten Broek, Radboud University
Bruno M. Pereira, State University of Campinas
Gustavo P. Fraga, University of Campinas
Kenji Inaba, LAC+USC Medical Center
Joseph Kashuk, Tel Aviv University Sackler School of Medicine
Neil Parry, Victoria Hospital
Peter T. Masiakos, Massachusetts General Hospital
Konstantinos S. Mylonas, Massachusetts General Hospital
Andrew Kirkpatrick, Foothills Medical Centre
Fikri Abu-Zidan, UAE University
Carlos Augusto Gomes, Universidade Federal de Juiz de Fora
Simone Vasilij Benatti, Papa Giovanni XXIII Hospital
Noel Naidoo, University of KwaZulu-Natal
Francesco Salvetti, Papa Giovanni XXIII Hospital
Stefano Maccatrozzo, Papa Giovanni XXIII Hospital
Vanni Agnoletti, Bufalini Hospital
Emiliano Gamberini, Bufalini Hospital
Leonardo Solaini, Papa Giovanni XXIII Hospital
Antonio Costanzo, Papa Giovanni XXIII Hospital
Andrea Celotti, Papa Giovanni XXIII Hospital
Matteo Tomasoni, Papa Giovanni XXIII Hospital
Vladimir Khokha, Mozir City Hospital
Catherine Arvieux, CHUGA-CHU Grenoble Alpes UGA-Université Grenoble Alpes
Lena Napolitano, University of Michigan Health System
Lauri Handolin, Helsinki University Hospital
Michele Pisano Pisano, Papa Giovanni XXIII Hospital
Stefano Magnone, Papa Giovanni XXIII Hospital
David A. Spain, Stanford University
Marc de Moya, Massachusetts General Hospital
Kimberly A. Davis, Yale-New Haven Hospital
Nicola De Angelis, Hopital Heri Mondor
Ari Leppaniemi, Mehilati Hospital
Paula Ferrada, Massachusetts General Hospital
Rifat Latifi, Westchester Medical Center
David Costa Navarro, Alicante General University Hospital
Yashuiro Otomo, Tokyo Medical and Dental University
Raul Coimbra, UC San Diego Health System
Ronald V. Maier, University of Washington
Frederick Moore
Sandro Rizoli, St Michael’s Hospital
Boris Sakakushev, University Hospital St George
Joseph M. Galante, University of California
Osvaldo Chiara, Ospedale Niguarda
Stefania Cimbanassi, Ospedale Niguarda
Alain Chichom Mefire, University of Buea
Dieter Weber, Royal Perth Hospital
Marco Ceresoli, Papa Giovanni XXIII Hospital
Andrew B. Peitzman, University of Pittsburgh
Liban Wehlie, Ayaan Hospital
Massimo Sartelli, Macerata Hospital
Salomone Di Saverio, Maggiore Hospital
Luca Ansaloni, Maggiore Hospital

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World Journal of Emergency Surgery





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September 2017


Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology especially considering the modern tools for bleeding management. Thus, the management of splenic trauma should be ultimately multidisciplinary and based on the physiology of the patient, the anatomy of the injury, and the associated lesions. Lastly, as the management of adults and children must be different, children should always be treated in dedicated pediatric trauma centers. In fact, the vast majority of pediatric patients with blunt splenic trauma can be managed non-operatively. This paper presents the World Society of Emergency Surgery (WSES) classification of splenic trauma and the management guidelines.


© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.

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